NPIMap

Organization Active NPI

Kemit PLLC

Doing business as kemit medical group

  • Specialist
  • Southfield, MI
National Provider Identifier
1306049820
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301062274 Issued in MI
Legal business name
KEMIT PLLC
Doing business as
kemit medical group
Practice address
23077 Greenfield Rd
Suite 231
Southfield, MI 48075-3750
Phone
(248) 569-2160
Fax
(248) 569-5756
NPI assigned
Jun 11, 2007
Last updated
Feb 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anthony Dwayne Williams, MDNPI 1245246354
Title
President
Phone
(248) 569-2160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301062274 MI Primary

Addresses

Primary practice location

23077 Greenfield Rd
Suite 231
Southfield, MI 48075-3750

Mailing address

23077 Greenfield Rd
Suite 231
Southfield, MI 48075-3709
Phone (248) 569-2160

Other identifiers 1

IdentifierTypeStateIssuer
4221369MedicaidMI

Other names 1

  • kemit medical group Doing business as

National Provider Directory

National Provider Directory

Locations

23077 Greenfield Rd
Ste 23
Southfield, MI 48075
Phone (248) 569-2160

23077 Greenfield Rd
Ste 231
Southfield, MI 48075
Phone (248) 569-2160

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1306049820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE 231",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753709",
            "telephone_number": "248-569-2160",
            "fax_number": "248-569-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE 231",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753750",
            "telephone_number": "248-569-2160",
            "fax_number": "248-569-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMIT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-569-2160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301062274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4221369",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kemit medical group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.